抑郁程度对不同心功能分级慢性心力衰竭患者再入院率的影响

Effect of Depression on Rehospitalization Rate of Patients with Congestive Heart Failure in Different Heart Function Classes

目的研究抑郁程度对不同心功能分级慢性心力衰竭(chronic heart failure,CHF)患者再入院率的影响。方法选取2013年9月至2014年8月在本院就诊的72例CHF合并抑郁患者为研究对象,采用美国纽约心脏病学会(NYHA)心功能分级及汉密顿抑郁量表(HAMD)对患者进行测评,分析不同心功能分级下,患者抑郁程度与再入院率的关系。结果NYHA II、III级CHF患者抑郁程度与半年内再入院次数呈正相关,抑郁是CHF患者是导致再入院的危险因素(P<0.05),可增加患者住院次数。结论抑郁程度高的CHF患者半年内再入院率明显增加,抑郁可加重CHF进程。在CHF临床护理过程中,要注意引导患者抵制抑郁情绪,提高临床治疗效果,以改善CHF预后。

Objective To determine whether the depression level could produce an effect on the rehospitalization rate in patients suffering from chronic heart failure （CHF） in different heart function grades. Methods Having been hospitalized in Guangdong Province Hospital of Traditional Chinese Medicine General hospital and each branch institutes at September 2013 to August 2014, 72 patients with CHF accompanied depression were studied. New York Heart Association class （NYHA） and Hamilton depression scale （HAMD） were used to analyze the relationship of depression to rehospitalization rate in patients with various cardiac function grading. Results There was a positive correlation between depression levels and rehospitalization rates in patients of CHF with NYHA class II or III. Furthermore, rehospitalization was caused by a hazards factor of depression （P〈0.05）, which led to a frequent visit of patients. Conclusion CHF patients with depressive symptoms which exacerbate the development of CHF, suffer from higher readmission rate. Thus depression deserves more attention to improve patient＆#39;s life quality and favorable prognosis in the process of clinical nursing of patients with CHF.